Individual provider Active NPI

Ann Dawson, LLMSW

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1851885800
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
N339229 Issued in MI
Practice address
3949 Sparks Dr SE
Grand Rapids, MI 49546-6110
Phone
(616) 957-5850
NPI assigned
Jun 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X N339229 MI Primary

Addresses

Primary practice location

3949 Sparks Dr SE
Grand Rapids, MI 49546-6110

Mailing address

2 Edwards Ave
Grand Haven, MI 49417-1734
Phone (616) 607-8143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200904001676 MI Practitioner - Clinical Social Worker 7214354273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1190 E Apple Ave
Muskegon, MI 49442-3758
Phone (231) 737-9840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N339229MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alcohol and Chemical Abuse Consultants Inc Social Worker CurrentSince Aug 1, 2020 Accepting new patients
Alcohol and Chemical Abuse Consultants Inc Social Worker CurrentSince Aug 1, 2020 Accepting new patients

Locations

3949 Sparks Dr SE
Ste 103
Grand Rapids, MI 49546
Phone (616) 957-5850

1190 E Apple Ave
Muskegon, MI 49442
Phone (231) 737-9840

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1851885800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EDWARDS AVE",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171734",
            "telephone_number": "616-607-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 SPARKS DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466110",
            "telephone_number": "616-957-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "ANN",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "N339229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.